Individual
ALDEN LOUGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, NMT
Contact information
Practice address
14641 WYANDOTTE ST, VAN NUYS, CA 91405-1933
(747) 254-9559
Mailing address
14641 WYANDOTTE ST, VAN NUYS, CA 91405-1933
(747) 254-9559
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
75430
CA
225700000X
Massage Therapist
Primary
76430
CA
Other
Enumeration date
12/23/2018
Last updated
12/23/2018
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